{"ref":"NC-HSP-MD-01","title":"Medical Director, Physician Designee and Attending Physicians","category":"Governance","summary":"Requires a Medical Director licensed in North Carolina who directs the medical aspects of the patient care program, a physician designee who acts in the Medical Director's absence, 24-hour physician availability, and sets out the duties of hospice physicians and attending physicians, including the North Carolina rule that physician orders are reviewed and signed at least every 90 days.","inShort":["Our Medical Director, Dr. Morgan Sample, is a physician licensed in North Carolina who directs the medical side of hospice care.","When the Medical Director is not available, Dr. Riley Sample acts in that role.","A physician is available 24 hours a day. The on-call nurse knows who to call.","Each patient's attending physician must agree to stay on as attending physician, and physician orders are reviewed and signed at least every 90 days.","Tell the physician about any unexpected change in the patient's condition."],"primaryCitation":"10A NCAC 13K .0102(17)","citations":["10A NCAC 13K .0102(17), (23)","10A NCAC 13K .0601(1), (3)","10A NCAC 13K .0701(a)","10A NCAC 13K .0801(b)-(e)","G.S. 131E-201(4), (6)"],"federalCitations":["42 CFR §418.102","42 CFR §418.3","42 CFR §418.64(a)","42 CFR §418.22(b), (c)","42 CFR §418.25","42 CFR §418.26(b)","42 CFR §418.56(b)","42 CFR §418.100(c)(2)"],"surveyorAsks":["Who is your Medical Director, and where is the verification of his or her North Carolina license?","Who acts when the Medical Director is not available? Show me the written designation."],"forms":[{"ref":"NC-HSP-MD-01-A","title":"Medical Director and Physician Designee Designation"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .0102(17))","5. Appointment and Qualifications","6. Duties of the Medical Director","7. Physician Availability and the Physician Designee","8. Working With Attending Physicians","9. Nurse Practitioners","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}